How much rates vary
Facilitymedian $776 · 10th to 90th $155 to $3,236Professionalmedian $324 · 10th to 90th $155 to $589
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $1,148.15 | Facility | None | $154.88 | $154.88 | $1,148.15 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 54 · Surgery only | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | 55 · Aftercare only | $23.44 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 78 · Unplanned return to OR | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $154.88 Typical High $208.93 | Professional | None | $151.36 | $154.88 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 54 · Surgery only | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 78 · Unplanned return to OR | $109.65 | $109.65 | $109.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $812.83 Median $2,630.27 Typical High $6,025.60 | Facility | None | $812.83 | $2,630.27 | $6,025.60 |
BCBS Minnesota Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $549.54 | Professional | None | $251.19 | $346.74 | $549.54 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $275.42 Typical High $426.58 | Professional | 54 · Surgery only | $199.53 | $275.42 | $426.58 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $69.18 Typical High $107.15 | Professional | 55 · Aftercare only | $51.29 | $69.18 | $107.15 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $288.40 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $208.93 | $288.40 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $758.58 | Facility | None | $257.04 | $398.11 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $416.87 Typical High $660.69 | Professional | None | $245.47 | $416.87 | $660.69 |
Health Partners Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $645.65 | Facility | None | $229.09 | $371.54 | $645.65 |
Health Partners Setting Professional Modifier None Typical Low $218.78 Median $389.05 Typical High $616.60 | Professional | None | $218.78 | $389.05 | $616.60 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $1,258.93 Typical High $3,981.07 | Facility | None | $295.12 | $1,258.93 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $316.23 Typical High $1,202.26 | Professional | None | $162.18 | $316.23 | $1,202.26 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $151.36 Median $269.15 Typical High $549.54 | Professional | None | $151.36 | $269.15 | $549.54 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | 56 · Pre-op care only | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $15.85 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,162.28 Median $5,754.40 Typical High $10,715.19 | Facility | 50 · Both sides | $3,162.28 | $5,754.40 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $380.19 Median $512.86 Typical High $831.76 | Professional | 50 · Both sides | $380.19 | $512.86 | $831.76 |
Where Minnesota sits
The same service costs 9.1 times more in Colorado than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
CO $4,579MT $503
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.